BENEFIT ILLUSTRATION

[Date and Time of Illustration – 10 July 2026, 04:51 PM] Proposal No:

Name of the Prospect/Policyholder: [Link] Name of the Product: Axis Max Life Online Savings Plan Plus
A Unit-Linked Non-Participating Individual Life
Age & Gender: 31 Years, Male Tag Line:
Insurance Savings Plan
Name of the Life Assured: [Link] Plan Variant: Platinum Variant
Unique Identification No: 104L131V02
Age & Gender: 31 Years, Male
Axis Max Life State: Haryana
Sum Assured: `12,00,000
Policyholder Residential State: HR
Policy Term & Premium Payment
20 Years & 10 Years
Term : Investment Strategy Opted for: Self Managed Portfolio Strategy
Amount of Installment Premium: `10,000 Funds opted for along with their BSE 500 Value 50 Index Fund II (Very High): 100%
Mode of payment of premium: Monthly risk level (Please specify the
customer specific fund option):

How to read and understand this benefit illustration?

This benefit illustration is intended to show what charges are deducted from your premiums and how the unit fund, net of charges and taxes, may grow over the years of
the policy term if the fund earns a gross return of 8% p.a. or 4% p.a. These rates, i.e., 8% p.a. and 4% p.a. are assumed only for the purpose of illustrating the flow of
benefits if the returns are at this level. It should not be interpreted that the returns under the plan are going to be either 8% p.a. or 4% p.a.
Net Yield mentioned corresponds to the gross investment return of 8% p.a., net of all charges but does not consider mortality, morbidity charges, underwriting extra, if
any, guarantee charges and cost of riders, if deducted by cancellation of units. It demonstrates the impact of charges exclusive of taxes on the net yield. Please note that
the mortality charges per thousand sum assured in general, increases with age.
The actual returns can vary depending on the performance of the chosen fund, charges towards mortality, morbidity, underwriting extra, cost of riders, etc. The
investment risk in this policy is borne by the policyholder, hence, for more details on terms and conditions please read sales literature carefully.
Part A of this statement presents a summary view of year-by-year charges deducted under the policy, fund value, surrender value and the death benefit, at two assumed
rates of return. Part B of this statement presents a detailed break-up of the charges, and other values.
Note: Some benefits are guaranteed and some benefits are variable with returns based on the future performance of your insurer carrying on life insurance business. If
your policy offers guaranteed benefits then these will be clearly marked “guaranteed” in the illustration table on this page. If your policy offers variable benefits then the
illustration on this page will show two different rates of assumed future investment returns. These assumed rates of return are not guaranteed and they are not the
upper or lower limits of what you might get back, as the value of your policy is dependent on a number of factors including actual future investment performance.

UIN: 104L131V02 Page 1 of 9

 Additional Benefit Details

Funding of Premium $$ 2X

Existing Customer Benefit* No Women Empowerment Benefit NA

Smart Withdrawal plan No Smart Withdrawal Percentage NA

Opted Start Year for Smart Withdrawal Payouts NA Smart Withdrawal Payment Frequency NA

Rider Details
Rider Name Variant Rider Sum Assured Rider Term Rider Premium Payment Term
^SUPR - Term booster with Accelerated Terminal
NA NA NA NA
Illness
^SUPR - Accidental Death Benefit NA NA NA NA
^SUPR - Accidental Total & Permanent Disability NA NA NA NA
^SUPR - Payor Benefit NA NA NA NA
Critical Illness and Disability-Secure Rider NA NA NA NA

Premium Summary
Axis Max Life #SUPR - Term #SUPR -
#SUPR - Total
Critical Illness booster with Accidental Total #SUPR - Payor
Base Plan Accidental Installment
and Disability- Accelerated & Permanent Benefit
Death Benefit Premium
Secure Rider Terminal Illness Disability

Installment Premium (in Rs.) 10,000 0 0 0 0 0 10,000

UIN: 104L131V02 Page 2 of 9

 Part A (Amount in Rupees.)
At 4% p.a. Gross Investment Return At 8% p.a. Gross Investment Return Additional Benefits
Policy Annualize Mortality, Income Funding
Fund at Smart Mortality, Fund at Smart
Year d Premium Morbidity Other Surrender Death Other Surrender Death Benefit of
End of Withdrawa Morbidity End of Withdrawa
Charges** Value Benefit $ Charges** Value Benefit $ on Premium
Charges Year l Charges Year l $$
Death^^
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
14,40,00 21,60,00
1 1,20,000 3,822 4,432 1,14,160 0 1,08,160 12,00,000 3,822 4,444 1,16,534 0 1,10,534 12,00,000
0 0
14,40,00 19,20,00
2 1,20,000 3,843 5,995 2,31,273 0 2,26,473 12,00,000 3,843 6,074 2,40,681 0 2,35,881 12,00,000
0 0
14,40,00 16,80,00
3 1,20,000 3,844 7,600 3,51,437 0 3,47,837 12,00,000 3,844 7,809 3,72,960 0 3,69,360 12,00,000
0 0
14,40,00 14,40,00
4 1,20,000 3,859 9,245 4,74,716 0 4,72,716 12,00,000 3,859 9,659 5,13,892 0 5,11,892 12,00,000
0 0
14,40,00 12,00,00
5 1,20,000 3,881 10,934 6,01,186 0 6,01,186 12,00,000 3,881 11,629 6,64,034 0 6,64,034 12,00,000
0 0
14,40,00
6 1,20,000 3,902 12,666 7,30,928 0 7,30,928 12,00,000 3,902 13,728 8,23,990 0 8,23,990 12,00,000 9,60,000
0
14,40,00
7 1,20,000 3,915 14,443 8,64,037 0 8,64,037 12,00,000 3,915 15,965 9,94,412 0 9,94,412 12,00,000 7,20,000
0
14,40,00
8 1,20,000 3,911 16,266 10,00,618 0 10,00,618 12,00,000 3,911 18,348 11,76,005 0 11,76,005 12,00,000 4,80,000
0
14,40,00
9 1,20,000 3,878 18,137 11,40,791 0 11,40,791 12,00,000 3,878 20,887 13,69,529 0 13,69,529 12,00,000 2,40,000
0
14,40,00
10 1,20,000 3,858 20,058 12,84,637 0 12,84,637 12,60,000 3,858 23,593 15,75,753 0 15,75,753 12,60,000 0
0
13,08,00
11 0 3,972 21,140 13,10,429 0 13,10,429 12,60,000 3,972 25,576 16,71,155 0 16,71,155 12,60,000 0
0
11,64,00
12 0 4,160 21,492 13,36,702 0 13,36,702 12,60,000 4,160 26,909 17,72,611 0 17,72,611 12,60,000 0
0
10,20,00
13 0 4,355 21,851 13,63,461 0 13,63,461 12,60,000 4,355 28,326 18,80,513 0 18,80,513 12,60,000 0
0

14 0 4,549 22,216 13,90,720 0 13,90,720 12,60,000 4,549 29,833 19,95,283 0 19,95,283 12,60,000 8,76,000 0

15 0 4,751 22,588 14,18,485 0 14,18,485 12,60,000 4,751 31,436 21,17,363 0 21,17,363 12,60,000 7,32,000 0

UIN: 104L131V02 Page 3 of 9

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

16 0 4,966 22,966 14,46,756 0 14,46,756 12,60,000 4,966 33,142 22,47,220 0 22,47,220 12,60,000 5,88,000 0

17 0 5,174 23,352 14,75,551 0 14,75,551 12,60,000 5,174 34,956 23,85,368 0 23,85,368 12,60,000 4,44,000 0

18 0 5,565 23,744 15,04,701 0 15,04,701 12,60,000 5,565 36,885 25,32,164 0 25,32,164 12,60,000 4,32,000 0

19 0 6,256 24,138 15,33,910 0 15,33,910 12,60,000 6,256 38,932 26,87,864 0 26,87,864 12,60,000 4,32,000 0

20 0 7,072 24,532 16,77,053 0 16,77,053 12,60,000 7,072 41,103 29,66,919 0 29,66,919 12,60,000 4,32,000 0
*See Part B for details

IN THIS POLICY, THE INVESTMENT RISK IS BORNE BY THE POLICYHOLDER AND THE ABOVE INTEREST RATES ARE ONLY FOR ILLUSTRATIVE PURPOSE.

I, ……………………………………………. (name), have explained the

I, [Link] (name), having received the information with respect to the
premiums, charges and benefits under the policy fully to the prospect /
above, have understood the above statement before entering into the
policyholder.
contract.

Place
Signature / OTP Confirmation Date / Thumb
Date: 7/10/26
Impression / Electronic Signature of Agent/ Date: 7/10/26 Signature / OTP Confirmation Date / Thumb
Intermediary / Official of the insurer Impression / Electronic Signature of Prospect/
Policyholder
This system generated benefit illustration shall be treated as signed by me.

UIN: 104L131V02 Page 4 of 9

 Part B Gross Yield 8% p.a. Net Yield 6.48% Amount in Rupees
Additional Benefit
Annualized Surrender
Premium Premium - Value
Annualized Mortality, Policy Fund Fund at Smart Death Income Funding
Policy Allocation Premium Guarantee Other Additions Return of (post
Premium Morbidity Admin. before FMC End of the Withdrawa Benefit Benefit of
Year Charge Allocation Charge Charges** to the fund* Charges ~ smart
(AP) Charge Charge FMC Year l $ on Premiu
(PAC) Charges (AP- withdraw
PAC) al) Death^^ m$$

12,00,0 14,40,00 21,60,00

1 1,20,000 0 1,20,000 3,822 3,600 0 0 0 0 1,17,378 844 1,16,534 0 1,10,534
00 0 0
12,00,0 14,40,00 19,20,00
2 1,20,000 0 1,20,000 3,843 3,600 0 0 0 0 2,43,154 2,474 2,40,681 0 2,35,881
00 0 0
12,00,0 14,40,00 16,80,00
3 1,20,000 0 1,20,000 3,844 3,600 0 0 0 0 3,77,170 4,209 3,72,960 0 3,69,360
00 0 0
12,00,0 14,40,00 14,40,00
4 1,20,000 0 1,20,000 3,859 3,600 0 0 0 0 5,19,951 6,059 5,13,892 0 5,11,892
00 0 0
12,00,0 14,40,00 12,00,00
5 1,20,000 0 1,20,000 3,881 3,600 0 0 0 0 6,72,063 8,029 6,64,034 0 6,64,034
00 0 0
12,00,0 14,40,00
6 1,20,000 0 1,20,000 3,902 3,600 0 0 0 0 8,34,118 10,128 8,23,990 0 8,23,990 9,60,000
00 0
10,06,77 12,00,0 14,40,00
7 1,20,000 0 1,20,000 3,915 3,600 0 0 0 0 12,365 9,94,412 0 9,94,412 7,20,000
7 00 0
11,90,75 12,00,0 14,40,00
8 1,20,000 0 1,20,000 3,911 3,600 0 0 0 0 14,748 11,76,005 0 11,76,005 4,80,000
3 00 0
13,86,81 12,00,0 14,40,00
9 1,20,000 0 1,20,000 3,878 3,600 0 0 0 0 17,287 13,69,529 0 13,69,529 2,40,000
6 00 0
15,95,74 12,60,0 14,40,00
10 1,20,000 0 1,20,000 3,858 3,600 0 0 0 0 19,993 15,75,753 0 15,75,753 0
7 00 0
16,93,13 12,60,0 13,08,00
11 0 0 0 3,972 3,600 0 0 0 0 21,976 16,71,155 0 16,71,155 0
1 00 0
17,95,92 12,60,0 11,64,00
12 0 0 0 4,160 3,600 0 0 0 0 23,309 17,72,611 0 17,72,611 0
0 00 0
19,05,23 12,60,0 10,20,00
13 0 0 0 4,355 3,600 0 0 0 0 24,726 18,80,513 0 18,80,513 0
9 00 0
20,21,51 12,60,0
14 0 0 0 4,549 3,600 0 0 0 0 26,233 19,95,283 0 19,95,283 8,76,000 0
6 00

UIN: 104L131V02 Page 5 of 9

 Additional Benefit
Annualized Surrender
Premium Premium - Value
Annualized Mortality, Policy Fund Fund at Smart Death Income Funding
Policy Allocation Premium Guarantee Other Additions Return of (post
Premium Morbidity Admin. before FMC End of the Withdrawa Benefit Benefit of
Year Charge Allocation Charge Charges** to the fund* Charges ~ smart
(AP) Charge Charge FMC Year l $ on Premiu
(PAC) Charges (AP- withdraw
PAC) al) Death^^ m$$

21,45,20 12,60,0
15 0 0 0 4,751 3,600 0 0 0 0 27,836 21,17,363 0 21,17,363 7,32,000 0
0 00
22,76,76 12,60,0
16 0 0 0 4,966 3,600 0 0 0 0 29,542 22,47,220 0 22,47,220 5,88,000 0
1 00
24,16,72 12,60,0
17 0 0 0 5,174 3,600 0 0 0 0 31,356 23,85,368 0 23,85,368 4,44,000 0
4 00
25,65,44 12,60,0
18 0 0 0 5,565 3,600 0 0 0 0 33,285 25,32,164 0 25,32,164 4,32,000 0
9 00
27,23,19 12,60,0
19 0 0 0 6,256 3,600 0 0 0 0 35,332 26,87,864 0 26,87,864 4,32,000 0
6 00
30,04,42 12,60,0
20 0 0 0 7,072 3,600 0 0 6,000 1,08,000 37,503 29,66,919 0 29,66,919 4,32,000 0
3 00

Gross Yield 4% p.a. Amount in Rupees

Annualized Surrender Additional Benefit
Premium Premium - Value
Annualize Mortality, Policy Additions Fund at Death Income Funding
Policy Allocation Premium Guarantee Other Return of Fund Smart (post
d Premium Morbidity Admin. ** to the FMC End of the Benefit Benefit of
Year Charge Allocation Charge Charges charges ~ before FMC Withdrawal smart
(AP) Charge Charge fund* Year $ on Premium
(PAC) Charges (AP- withdraw $$
Death^^
PAC) al)
12,00,0 14,40,00 21,60,00
1 1,20,000 0 1,20,000 3,822 3,600 0 0 0 0 1,14,992 832 1,14,160 0 1,08,160
00 0 0
12,00,0 14,40,00 19,20,00
2 1,20,000 0 1,20,000 3,843 3,600 0 0 0 0 2,33,669 2,395 2,31,273 0 2,26,473
00 0 0
12,00,0 14,40,00 16,80,00
3 1,20,000 0 1,20,000 3,844 3,600 0 0 0 0 3,55,437 4,000 3,51,437 0 3,47,837
00 0 0
12,00,0 14,40,00 14,40,00
4 1,20,000 0 1,20,000 3,859 3,600 0 0 0 0 4,80,362 5,645 4,74,716 0 4,72,716
00 0 0
12,00,0 14,40,00 12,00,00
5 1,20,000 0 1,20,000 3,881 3,600 0 0 0 0 6,08,519 7,334 6,01,186 0 6,01,186
00 0 0
UIN: 104L131V02 Page 6 of 9
 Annualized Surrender Additional Benefit
Premium Premium - Value
Annualize Mortality, Policy Additions Fund at Death Income Funding
Policy Allocation Premium Guarantee Other Return of Fund Smart (post
d Premium Morbidity Admin. to the FMC End of the Benefit Benefit of
Year Charge Allocation Charge Charges** charges ~ before FMC Withdrawal smart
(AP) Charge Charge fund* Year $ on Premium
(PAC) Charges (AP- withdraw $$
Death^^
PAC) al)
12,00,0 14,40,00
6 1,20,000 0 1,20,000 3,902 3,600 0 0 0 0 7,39,994 9,066 7,30,928 0 7,30,928 9,60,000
00 0
12,00,0 14,40,00
7 1,20,000 0 1,20,000 3,915 3,600 0 0 0 0 8,74,880 10,843 8,64,037 0 8,64,037 7,20,000
00 0
12,00,0 14,40,00
8 1,20,000 0 1,20,000 3,911 3,600 0 0 0 0 10,13,284 12,666 10,00,618 0 10,00,618 4,80,000
00 0
12,00,0 14,40,00
9 1,20,000 0 1,20,000 3,878 3,600 0 0 0 0 11,55,329 14,537 11,40,791 0 11,40,791 2,40,000
00 0
12,60,0 14,40,00
10 1,20,000 0 1,20,000 3,858 3,600 0 0 0 0 13,01,095 16,458 12,84,637 0 12,84,637 0
00 0
12,60,0 13,08,00
11 0 0 0 3,972 3,600 0 0 0 0 13,27,970 17,540 13,10,429 0 13,10,429 0
00 0
12,60,0 11,64,00
12 0 0 0 4,160 3,600 0 0 0 0 13,54,594 17,892 13,36,702 0 13,36,702 0
00 0
12,60,0 10,20,00
13 0 0 0 4,355 3,600 0 0 0 0 13,81,711 18,251 13,63,461 0 13,63,461 0
00 0
12,60,0
14 0 0 0 4,549 3,600 0 0 0 0 14,09,336 18,616 13,90,720 0 13,90,720 8,76,000 0
00
12,60,0
15 0 0 0 4,751 3,600 0 0 0 0 14,37,473 18,988 14,18,485 0 14,18,485 7,32,000 0
00
12,60,0
16 0 0 0 4,966 3,600 0 0 0 0 14,66,122 19,366 14,46,756 0 14,46,756 5,88,000 0
00
12,60,0
17 0 0 0 5,174 3,600 0 0 0 0 14,95,303 19,752 14,75,551 0 14,75,551 4,44,000 0
00
12,60,0
18 0 0 0 5,565 3,600 0 0 0 0 15,24,845 20,144 15,04,701 0 15,04,701 4,32,000 0
00
12,60,0
19 0 0 0 6,256 3,600 0 0 0 0 15,54,449 20,538 15,33,910 0 15,33,910 4,32,000 0
00
12,60,0
20 0 0 0 7,072 3,600 0 0 6,000 1,08,000 16,97,985 20,932 16,77,053 0 16,77,053 4,32,000 0
00

UIN: 104L131V02 Page 7 of 9

Notes:
1. Refer the sales literature for explanation of terms used in this illustration.
2. Fund management charge is based on the specific fund option(s) chosen.
3. ‘Return of charges~’ means return of policy administration charges, if applicable.
a) Return of Policy Administration Charges: A fixed percentage of total Policy Administration Charges deducted shall be added back as Return of Policy Administration Charge to the
Fund Value at maturity or at the end of (85 minus Age at entry)th policy year, whichever is earlier provided the policy is in force and all due premium(s) have been paid. The structure of
return of Policy Administration Charges will be as follows:
•For Policy term < 15 years: 125% of total Policy Administration charge deducted throughout Policy Term (i.e. till maturity date) shall be returned.
• For Policy term > = 15 years: 150% of total Policy Administration charge deducted throughout Policy Term (i.e. till maturity date) shall be returned.
4. *The ‘Additions to Fund’ column refers here is a sum of Women Empowerment Benefit, Existing Customer Benefit, if applicable.
a) Women Empowerment Benefit: This is a Special benefit applicable only for Female lives where an amount equivalent to 1% of the Annualized Premium under Limited/Regular Pay
or 0.50% of the Single Premium under Single Pay shall be added to the Fund Value at the time of allocation of the first policy year’s premium or Single Premium, as applicable.
b) Existing Customer Benefit (ECB): This is an additional booster only for Existing customers wherein a fixed percentage of Annualized/Single Premium shall be payable at the end of
Policy Term (i.e. on Maturity) or at the end of (85 minus Age at entry)th policy year, whichever is earlier provided all due premium(s) have been paid. The Booster percentage shall be as
follows:
•For Policy term < 20 years: 2.5% of Annualized/Single Premium shall be payable.
•For Policy term > = 20 years: 5.0% of Annualized/Single Premium shall be payable.
5. The smart withdrawal amount chosen by you will vary between the % of fund chosen and zero, due to the variability of the actual fund returns and that the fund value has to be
maintained at least equal to 2 Annualised premium in case of Limited/ Regular Pay or 25% of Single Premium in case of Single Pay. Where the frequency of the Smart Withdrawal may be
other than Annual (Semi-Annual, Quarterly or Monthly), the above chosen percentage will be split over the number of instalments in a year. Please refer to policy contract and sales
literature for further details.
6. “Sum Assured” mentioned above refers to “Sum Assured under the base plan at inception” = Annualised Premium under the base plan * Cover Multiple.
7. $ Death Benefit mentioned herewith refers to the Death Benefit under the base plan that is payable immediately on death of Life insured under all plan variants.
8. ^^In case you have opted Gold and Platinum variant: An income benefit equal to 1% of Sum assured will be paid each month starting from the Policy anniversary date of every month
following or coinciding with the date of death of the Life Insured till the end of the policy term (including the payout at the maturity date), subject to a minimum of 36 monthly payments
and a maximum of 120 monthly payments. Income Benefit on death illustrated for each policy year here refers to the total income benefit payable under the policy.
9. $$In case you have opted Gold, Platinum and Titanium variant, Upon death of the life assured, the Company will fund 1X/2X/3X times (as applicable) of all future outstanding
premiums as and when due under the policy on each future premium due date(s). Funding of Premium on death illustrated for each policy year here refers to the total premium to be
funded by Axis Max Life if the event occurs at the end of that respective policy year.
10. In case rider charges are collected explicitly through collection of rider premium, and not by way of cancellation of units, then, such charges are not considered in this illustration. In
other cases, rider charges are included in other charges.

UIN: 104L131V02 Page 8 of 9

I, ……………………………………………. (name), have explained the
premiums, charges and benefits under the policy fully to the prospect / I, [Link] (name), having received the information with respect to the
policyholder. above, have understood the above statement before entering into the
contract.
Place
Date: 7/10/26 Signature / OTP Confirmation Date / Thumb
Impression / Electronic Signature of Agent/
Intermediary / Official of the insurer Date: 7/10/26 Signature / OTP Confirmation Date / Thumb
Impression / Electronic Signature of Prospect/
Policyholder
This system generated benefit illustration shall be treated as signed by me.

UIN: 104L131V02 Page 9 of 9